晚期甲状腺癌病人 ,尤其是有腺外浸润者 ,常因肿瘤侵犯气管壁 ,而不能切除干净 ,或因此放弃手术。其主要原因是气管壁缺损后缺乏合适的方法修复。我们自 1 990年以来收治此类病人 5例 ,3例病人术中切除部分受侵气管壁后用同侧胸锁乳突肌肌骨膜瓣修复 ,2例病人因切除肿瘤后气管 Late thyroid cancer patients, especially those with extra-gland infiltration, often due to tumor invasion of the tracheal wall, and can not be removed, or to give up surgery. The main reason is the lack of proper repair of the tracheal wall defects. We treated 5 of these patients since 1990. Three patients underwent partial resection of the inflamed tracheal wall with an ipsilateral sternocleidomastoid muscle flap for repairing the operation, and two patients had resection of the trachea